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re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.

Posted on 5/6/24 at 6:35 am to
Posted by SouthEndzoneTiger
Louisiana
Member since Mar 2008
10616 posts
Posted on 5/6/24 at 6:35 am to
quote:

Insurance companies can be a Bain to societies. The only time an insurance should be allowed to deny treatment is if they believe it to be fraudulent.


A guy gets hurt at work, twists an ankle pretty bad. Goes to the hospital to get it checked out, make sure it isn't broken. Diagnosed as a bad sprain. Doctor writes him a script for crutches, a walking boot, Viagra for his ED, and a splint for his finger that has been giving him problems after injuring it at home. The hospital submits the bills to his work comp insurance company and the Viagra and the finger splint are denied. You think that should be approved? It's not fraud, but absolutely should be denied.
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